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目的:探讨江门市新会区第二人民医院腹膜透析(下简称腹透)相关性腹膜炎的危险因素分析。方法:回顾性分析2012年9月至2013年12月江门市新会区第二人民医院确诊治疗的腹透患者150例的临床资料,依据是否并发腹透相关性腹膜炎分为并发组(42例)和对照组(108例),采用logistic回归分析法筛选腹膜炎的危险因素,统计分析所有患者的临床资料。结果:并发组和对照组患者在文化程度、性别、年龄、透析时间方面基本相同,差异均无统计学意义(P>0.05),并发组患者血钾(3.32±0.62)mmol/L、血白蛋白(26.87±5.41)g/L水平明显低于对照组,血糖(5.84±1.12)mmol/L、高糖腹透液使用次数(2.09±0.44)次明显高于对照组,差异具有统计学意义(P<0.05);logistic回归分析法结果显示,低血钾、低血白蛋白、高血糖、高糖腹透液使用是腹透相关性腹膜炎发生的独立危险因素(P<0.05)。结论:低血钾、低血白蛋白、高血糖、高糖腹透液使用可能与腹透相关性腹膜炎发生有关,且是其发生的独立危险因素。
Objective: To investigate the risk factors of peritonitis associated with peritoneal dialysis in the Second People's Hospital of Xinhui District, Jiangmen City. Methods: The clinical data of 150 patients with peritoneal dialysis diagnosed from the Second People's Hospital of Xinhui District, Jiangmen City from September 2012 to December 2013 were retrospectively analyzed. The patients were divided into concurrent group (42 cases ) And control group (108 cases). The risk factors of peritonitis were screened by logistic regression analysis, and the clinical data of all patients were statistically analyzed. Results: The patients in the concurrent group and the control group were basically the same in terms of education level, sex, age and dialysis time, but the difference was not statistically significant (P> 0.05). The levels of serum potassium (3.32 ± 0.62) mmol / L, The protein level (26.87 ± 5.41) g / L was significantly lower than that of the control group (5.84 ± 1.12 mmol / L, 2.09 ± 0.44), the difference was statistically significant (P <0.05). The results of logistic regression analysis showed that hypokalemia, hypoproteinemia, hyperglycemia and hyperglycemia were the independent risk factors for peritoneal-related peritonitis (P <0.05). Conclusion: Hypokalemia, hypoproteinemia, hyperglycemia and hyperglycemic peritoneal dialysis may be related to peritoneal dialysis-related peritonitis and are independent risk factors.